Care Systems Continue Asking Vulnerable People to Become Their Own Case Managers
Modern care systems increasingly hand administrative coordination back to the people least equipped to carry it, then describe the process as access.
Many patients can handle hard news. What wears them down is the machinery that follows it. Referrals need follow-ups. Offices need forms. Portals need messages. At the exact moment somebody should focus on care, the system starts assigning logistics homework.
Family members get drafted into the same bureaucracy. They become schedulers, document chasers, and unpaid operations staff, even though that labor barely appears in any official description of treatment.
People do not only want medicine. They want a system that remembers they are sick before it remembers they are also expected to be organized.
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